Medial Limited Midface-Lift-16-Year Experience.
Abstract
[BASIC DATA] Lifting the soft tissues from the midface is a necessary component in many cases in complex facial rejuvenation. Despite the widespread use of these surgeries, technical difficulties and a significant number of complications persist.
[OBJECTIVES] This paper details the technique of medial limited mid-facelift with the main purpose of correcting age-related changes of the lower eyelids and the middle third of the face.
[METHODS] In all clinical cases, the surgery was performed through the subciliary approach. A limited subperiosteal dissection of the midface soft tissues was used, which in all cases was not performed medial to the lateral edge of the infraorbital neurovascular bundle. The flap was carried out by cutting the periosteum, then was elevated in the vertical direction and was fixed to the bony part of the orbit through several holes drilled in the lower edge of the orbit.
[RESULTS] The study is based on 569 clinical cases over a period of 16 years from 2007 to 2023. The evaluation of the appearance of the lower eyelid area and the middle zone of the face was made, as well as changes in the length of the lower eyelid before and after surgery.
[CONCLUSIONS] Medial limited subperiosteal mid-facelift makes it possible to obtain a harmonious and stable result of rejuvenation of this area. Limited tissue mobilization and reliable fixation of the tissue flap to the orbital margin, made it possible to achieve a short-term rehabilitation period and a minimum number of complications requiring repeated treatment.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
[OBJECTIVES] This paper details the technique of medial limited mid-facelift with the main purpose of correcting age-related changes of the lower eyelids and the middle third of the face.
[METHODS] In all clinical cases, the surgery was performed through the subciliary approach. A limited subperiosteal dissection of the midface soft tissues was used, which in all cases was not performed medial to the lateral edge of the infraorbital neurovascular bundle. The flap was carried out by cutting the periosteum, then was elevated in the vertical direction and was fixed to the bony part of the orbit through several holes drilled in the lower edge of the orbit.
[RESULTS] The study is based on 569 clinical cases over a period of 16 years from 2007 to 2023. The evaluation of the appearance of the lower eyelid area and the middle zone of the face was made, as well as changes in the length of the lower eyelid before and after surgery.
[CONCLUSIONS] Medial limited subperiosteal mid-facelift makes it possible to obtain a harmonious and stable result of rejuvenation of this area. Limited tissue mobilization and reliable fixation of the tissue flap to the orbital margin, made it possible to achieve a short-term rehabilitation period and a minimum number of complications requiring repeated treatment.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | facelift
|
안면거상술 | dict | 2 | |
| 시술 | flap
|
피판재건술 | dict | 2 | |
| 해부 | lower eyelid
|
눈꺼풀 | dict | 2 | |
| 시술 | facial rejuvenation
|
안면거상술 | dict | 1 | |
| 해부 | Midface-Lift-16-Year
|
scispacy | 1 | ||
| 해부 | soft tissues
|
scispacy | 1 | ||
| 해부 | medial
|
scispacy | 1 | ||
| 해부 | eyelids
|
scispacy | 1 | ||
| 해부 | periosteum
|
scispacy | 1 | ||
| 해부 | tissue
|
scispacy | 1 | ||
| 합병증 | subperiosteal dissection
|
scispacy | 1 | ||
| 합병증 | orbit
|
scispacy | 1 | ||
| 합병증 | eyelid area
|
scispacy | 1 | ||
| 합병증 | eyelid
|
scispacy | 1 | ||
| 합병증 | subperiosteal
|
scispacy | 1 | ||
| 약물 | [OBJECTIVES]
|
scispacy | 1 | ||
| 약물 | [CONCLUSIONS] Medial limited
|
scispacy | 1 | ||
| 기타 | lateral edge
|
scispacy | 1 | ||
| 기타 | infraorbital neurovascular
|
scispacy | 1 | ||
| 기타 | tissue flap
|
scispacy | 1 |
📑 인용 관계
이 논문이 참조한 문헌 22
- The face recurve concept: medical and surgical applications.
- Three-dimensional endoscopic midface enhancement: a personal quest for the ideal cheek rejuvenation.
- Redraping the inferior orbicularis arc.
- Endoscopic facial rejuvenation: endoforehead, the functional lift. Case reports.
- Preoperative evaluation of the blepharoplasty patient. Bypassing the pitfalls.
- Composite rhytidectomy.
- The extended subperiosteal face lift: a definitive soft-tissue remodeling for facial rejuvenation.
- The deep-plane rhytidectomy.
- Subperiosteal approach as an improved concept for correction of the aging face.
- The blepharo-periorbitoplasty: anatomical basis.
- Fat pad sliding and fat grafting for leveling lid depressions.
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